Form ETA-9141 and Related Requirements

Application for Prevailing Wage Determination

OMB: 1205-0508

IC ID: 204363

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Form ETA-9141 and Related Requirements
 
No Modified
 
Mandatory
 
20 CFR 655.10 8 CFR 214.2(h)(6) 20 CFR 655.731 20 CFR 650.40

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form ETA 9141 Application for Prevailing Wage Determination Form ETA-9141 1205-0508 Cleaned.docx Yes Yes Fillable Fileable
Instruction Form ETA-9141 Instructions 1205-0508 Cleaned.docx Yes Yes Fillable Fileable
Other-Appendix A Form ETA-9141 App A 1205-0508 Cleaned.docx Yes Yes Fillable Fileable

Workforce Management Training and Employment

DOL/ETA-7  87 FR 8292

102,140 0
   
Private Sector Businesses or other for-profits, Farms, Not-for-profit institutions
 
   99 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 331,061 0 0 10,211 0 320,850
Annual IC Time Burden (Hours) 148,512 0 0 5,318 0 143,194
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Tracked 9141 Form ETA-9141 1205-0508 Tracked.docx 08/16/2022
9141 Instruction Tracked Form ETA-9141_Instructions 1205-0508 Tracked.docx 08/16/2022
9141 Appendix A Tracked Form ETA-9141 App A 1205-0508 Tracked.docx 08/16/2022
9141 Screenshots Screenshots for Form ETA-9141 1205-0508.docx 08/16/2022
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